NPIMap

Individual provider Active NPI

Michael Stephen Cooter, M.D.

  • Otolaryngology Physician
  • Greenville, SC
National Provider Identifier
1326094046
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
20049 Issued in SC
Practice address
1 Doctors Drive
Greenville, SC 29605
Phone
(864) 572-7001
Fax
(864) 412-0436
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 20049 SC Primary

Addresses

Primary practice location

1 Doctors Drive
Greenville, SC 29605

Mailing address

1 Doctors Drive
Greenville, SC 29605
Phone (864) 572-7001

Other identifiers 3

IdentifierTypeStateIssuer
P00816916OtherSCRR MEDICARE
T41693MedicaidSC
P00836348OtherSCRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100121000038 SC Practitioner - Otolaryngology 2062554611 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group South Carolina, LLCGroup PAC ID 5395158653, 21 clinicians

Practice addresses (Care Compare)

1 Doctors Dr
Greenville, SC 29605-4266
Phone (864) 572-7001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Health System CurrentSince Nov 6, 2009 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2010 Accepting new patients
Anmed Health Otolaryngology CurrentSince Oct 1, 2024 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Oct 1, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2010 Accepting new patients
Greenville Health System Current Accepting new patients
Privia Medical Group South Carolina, LLC Otolaryngology CurrentSince Jan 1, 2021 Accepting new patients
Greenville Ear Nose & Throat Past Accepting new patients

Locations

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

1655 E Greenville St
#A
Anderson, SC 29621
Phone (864) 224-6375

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

890 W Faris Rd
Ste 570
Greenville, SC 29605
Phone (803) 232-0883

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

124 Verdae Blvd
Ste 300
Greenville, SC 29607

1 Doctors Dr
Greenville, SC 29605
Phone (864) 271-3354

200 Patewood Dr
Ste B400
Greenville, SC 29615
Phone (864) 454-4368

877 W Faris Rd
Ste C
Greenville, SC 29605
Phone (864) 455-8147

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

1115 Wren School Rd
Piedmont, SC 29673
Phone (864) 859-0740

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/29036/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.cooter.1@29036.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 54

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 54

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1326094046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DOCTORS DRIVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-572-7001",
            "fax_number": "864-412-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DOCTORS DRIVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-572-7001",
            "fax_number": "864-412-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOTER",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "20049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00816916",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T41693",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00836348",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.